Provider Demographics
NPI:1417199134
Name:AMMAR, AFNAN (MD)
Entity type:Individual
Prefix:
First Name:AFNAN
Middle Name:
Last Name:AMMAR
Suffix:
Gender:F
Credentials:MD
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 0446 LOBBY J
Mailing Address - Street 2:24 FRANK LLOYD WRIGHT DR. IHA
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48106
Mailing Address - Country:US
Mailing Address - Phone:734-747-6766
Mailing Address - Fax:734-222-3100
Practice Address - Street 1:24 FRANK LLOYD WRIGHT DR LBBY C
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-9484
Practice Address - Country:US
Practice Address - Phone:734-647-5871
Practice Address - Fax:734-647-0185
Is Sole Proprietor?:No
Enumeration Date:2009-03-26
Last Update Date:2024-07-22
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301094586207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine